Methaqualone
Methaqualone is a sedative-hypnotic depressant of the quinazolinone class.1 Its sedative properties were first identified by researchers in the 1950s, and it was patented in the United States in 1962. During the 1970s, it saw widespread medical use for insomnia and muscle relaxation, as well as significant recreational popularity within the counterculture and disco scenes. Though largely discontinued as a pharmaceutical, it continues to be produced clandestinely, particularly in South Africa.2 Illicit methaqualone products are often adulterated, sometimes with other CNS depressants.
Contents
Dosage & Duration
Dosage
Duration
Subjective Effects
Effects vary widely by individual, dose, and context.
Physical
Cognitive
Visual
Reagent Testing
Loading reagent data
Pharmacology
Pharmacodynamics
Methaqualone acts primarily as a positive allosteric modulator of GABA-A receptors, enhancing the inhibitory chloride currents generated by GABA.3 Some minor direct agonist activity has also been observed, though it is not comparatively significant.3 Its binding site is located at the transmembrane β(+)/α(-) subunit interface, distinct from those of benzodiazepines, barbiturates, and neurosteroids, though it may partially overlap with the etomidate binding site.34 Methaqualone may also function as a negative allosteric modulator at certain GABA-A receptor subtypes, and is therefore considered a mixed GABA-A receptor modulator.3 It shows negligible affinity for a wide array of other potential targets, including other receptors and neurotransmitter transporters.3
Pharmacokinetics
Methaqualone is readily absorbed from the gastrointestinal tract and distributes into body fat, liver, and brain tissue via plasma. Peak plasma concentrations are reached approximately 2 hours after oral administration.5 Its elimination half-life has been variably reported, with estimates ranging from approximately 4 hours to as long as 60 hours.
Dangerous
Highest riskThese combinations are considered extremely harmful and should always be avoided. Reactions to these drugs taken in combination are highly unpredictable and have a potential to cause death.
Caution
Use cautionThese combinations are not usually physically harmful, but may produce undesirable effects, such as physical discomfort or overstimulation. Extreme use may cause physical health issues. Synergistic effects may be unpredictable. Care should be taken when choosing to use this combination.
Tolerance
GABAergic depressants, Barbiturates, Other sedative-hypnotics
Harm Potential
Addiction & Dependence
Psychological
HighMethaqualone is described as extremely addictive with high abuse potential.6 Psychological dependence is very common with regular use, particularly at doses over 600 mg per day. Users report severe cravings for the drug persisting for extended periods after cessation.
Physical
HighPhysical dependence develops rapidly, with daily use of even moderate doses producing addiction within a couple of weeks.7 Withdrawal symptoms include restlessness, irritability, insomnia, tremors, nausea, vomiting, abdominal cramps, and muscle twitches.8 Severe withdrawal can involve mental confusion, delirium, hallucinations, high fever, and epileptic-like seizures that can be fatal.78
Toxicity
Respiratory depression is a significant effect at higher doses and can progress to respiratory arrest in overdose; the combination with other depressants substantially increases this risk.9
Cardiac effects including reduced heart rate and blood pressure occur during use; cardiac arrest is possible in severe overdose.9
Kidney failure has been reported as a consequence of severe overdose.
Psychosis Risk
Paranoia, panic, and anxiety can occur during use, particularly at certain doses. More severe psychiatric effects including mental confusion, delirium, nightmares, and hallucinations are primarily associated with withdrawal rather than acute intoxication.8
Seizure Risk
Seizures represent a significant risk with methaqualone both in overdose and during withdrawal from chronic use.78 Convulsions have been documented in both circumstances, with withdrawal seizures being potentially fatal. The drug has anticonvulsant properties at normal doses, but tolerance develops to this effect with repeated administration.10
History & Culture
Discovery and Development
Methaqualone was first synthesized in India in 1951 by M.I. Gujral as part of a research program seeking antimalarial compounds. Although the substance proved ineffective against malaria, researchers identified its hypnotic properties by 1955. A subsequent pharmacological study in 1957 confirmed…
Legality
By Country
References
Source Pages
Citations
- (n.d.). What are Quaaludes, and how do they work?. PBS NewsHour. https://www.pbs.org/newshour/nation/what-are-quaaludes1
- (n.d.). The white pipe keeps burning. ENACT Africa. https://enactafrica.org/enact-observer/the-white-pipe-keeps-burning1
- (August 2015). A Multifaceted GABAA Receptor Modulator: Functional Properties and Mechanism of Action of the Sedative-Hypnotic and Recreational Drug Methaqualone (Quaalude). Molecular Pharmacology, 88(2), 401–420. https://doi.org/10.1124/mol.115.09929112345
- (2024). Structural insights into GABAA receptor potentiation by Quaalude. 15, 5244. https://doi.org/10.1038/s41467-024-49471-y1
- (1974). Absorption and clearance of secobarbital, heptabarbital, methaqualone, and ethinamate. 16(2), 376-389. https://doi.org/10.1002/cpt19741623761
- Inger JA, Mihan ER, Kolli JU, Lindsley CW, & Bender AM. (February 2023). DARK Classics in Chemical Neuroscience: Methaqualone. ACS Chemical Neuroscience, 14(3), 340-350. https://doi.org/10.1021/acschemneuro.2c006971
- Swartzburg M, Lieb J, & Schwartz AH. (July 1973). Methaqualone withdrawal. Archives of General Psychiatry, 29(1), 46-47. https://pubmed.ncbi.nlm.nih.gov/4197070/123
- Faught E. (August 1986). Methaqualone withdrawal syndrome with photoparoxysmal responses and high-amplitude visual evoked potentials. Neurology, 36(8), 1127-1129. https://pubmed.ncbi.nlm.nih.gov/3736882/1234
- (February 2022). Qua-alluding to the Past: A Case of Methaqualone Analog Ingestion. Journal of Analytical Toxicology, 46(2), e82. https://doi.org/10.1093/jat/bkab111123
- Boggan WO. (1977). The effects of methaqualone on the seizure susceptibility of mice. Psychopharmacology (Berl), 54(1), 45-49. https://pubmed.ncbi.nlm.nih.gov/410059/1
- Shetty BV, Campanella LA, & Hays EE. (1964). US Patent 3135659 — Hydroxy and Alkoxy Aryl Quinazolinones (Wallace and Tiernan Inc.). https://patents.google.com/patent/US31356591
- (n.d.). The rise and fall of the Quaalude: The forgotten drug. Liberty House Clinic. https://www.libertyhouseclinic.co.uk/blog/society/the-rise-and-fall-of-the-quaalude-the-forgotten-drug/123456
- (n.d.). What Are Quaaludes? The Truth Behind The Wolf Of Wall Street Drug. Solace Asia. https://solaceasia.org/blog/quaaludes-wolf-of-wall-street/12
- Arsenault J. (2018-04-17). Project Coast: Dr. Death's Kingdom of Quaaludes, Chemical Weapons, and Sterility Vaccines in Apartheid South Africa. Jesse Arsenault (WordPress). https://jessearsenault.wordpress.com/2018/04/17/project-coast-dr-deaths-kingdom-of-quaaludes-chemical-weapons-and-sterility-vaccines-in-apartheid-south-africa/1
- (2002-07-05). High on the white pipe. Mail & Guardian. https://mg.co.za/article/2002-07-05-high-on-the-white-pipe/12
- (n.d.). Mandrax — Intervention Organization Drug Addiction Help. Intervention.org. https://intervention.org/educate/mandrax1
- (2021). The white pipe keeps burning. ISS Africa. https://issafrica.org/iss-today/the-white-pipe-keeps-burning1
- (n.d.). Controlled Drugs and Substances Act (S.C. 1996, c. 19) — Schedule III. Government of Canada, Department of Justice. https://laws-lois.justice.gc.ca/eng/acts/C-38.8/1
- (n.d.). Betäubungsmittelgesetz (BtMG) — Anlage II (verkehrsfähige, aber nicht verschreibungsfähige Betäubungsmittel). Bundesministerium der Justiz, Germany. https://www.gesetze-im-internet.de/btmg_1981/anlage_ii.html1
- (1971). Misuse of Drugs Act 1971. https://www.legislation.gov.uk/ukpga/1971/38/schedule/21
- (n.d.). 21 CFR § 1308.11 — Schedule I Controlled Substances (Depressants). Drug Enforcement Administration, U.S. Department of Justice. https://www.law.cornell.edu/cfr/text/21/1308.111
Automated synthesisInformation aggregated and synthesized using an autonomous workflow built by Josie Kins.
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